About PRI
PRI BFCC-QIO Board Of Directors
PRI BFCC-QIO Board Of Directors

As defined by the Centers for Medicare & Medicaid Services (CMS), a Quality Improvement Organization (QIO) is a group of health quality experts, clinicians, and consumers organized to improve the quality of care delivered to people with Medicare. CMS’ QIO Program is one of the largest federal programs dedicated to providing better care and achieving better health outcomes for Medicare beneficiaries, all while at a lower cost. The core functions of the QIO Program include:

  • Improving quality of care for beneficiaries
  • Protecting the integrity of the Medicare Trust Fund by ensuring that Medicare pays only for services and goods that are reasonable and necessary and that are provided in the most appropriate setting
  • Protecting beneficiaries by expeditiously addressing individual complaints
CMS wants to ensure that beneficiaries receive the right care at the right time, every time.

About QIO

One of the types of QIOs established by CMS is the Beneficiary and Family Centered Care (BFCC) QIO. BFCC-QIOs help people who have Medicare exercise their right to high-quality healthcare. By working directly with beneficiaries and their family members, the BFCC-QIOs can leverage their experiences with the healthcare system, both positive and negative, to identify opportunities for improvement, develop solutions that put patients first, and promote lasting partnerships with the provider community.

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